Provider Demographics
NPI:1740425859
Name:BURGER, DANIEL G (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:BURGER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4646
Mailing Address - Country:US
Mailing Address - Phone:716-464-2701
Mailing Address - Fax:
Practice Address - Street 1:427 WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-4646
Practice Address - Country:US
Practice Address - Phone:716-464-2701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY052547OtherNYS PHARMACIST LICENSE